Account Representative I - Charge Entry - Baptist Health Care

Job Description

• Manages work flow and achieves monthly goals of productivity. Runs reports on outstanding Encounters for charge capture.
• Checks batches as they are received in the CBO and prioritizes functionality to stay within acceptable departmental guidelines. Communicates with clinics and supervisor for receipt of missing charges at end of month.
• Checks accuracy of batches received from clinics for missing or incorrect information. Communicates with physician billing liaison and manager in order to assist practices.
• Reviews charges for appropriate modifiers and coordinating diagnosis. Communicates with coding department for necessary corrections on diagnosis. Gives incorrect encounter form to Charge Entry Supervisor to return to clinic for other corrections.
• Balances batches with payments for accurate posting of copays and patient payments.
• Verifies insurance information, enters into practice management system appropriately.
• Maintains information received from coding department to accurately post CPT and ICD-9 codes.
• Sends any necessary copies or supporting documentation required by insurance companies and patients.
• Answers healthcare account questions in a clear and polite manner; pulls transaction files/computer files as necessary to answer questions.
• Forwards all unresolved complex/problem questions to Supervisor, Business Services Manager, or Director of Physician Enterprise Business Operations.

Minimum Education

• High School Diploma or Equivalent Required

Minimum Work Experience

• Six (6) months of relevant revenue cycle experience Required
• Experience in a healthcare insurance billing Preferred

About Us

Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.